person
Wayne Eric Gustafson, DMIN
Pastoral Counselor in Ithaca, New York
NPI 1851778757

Wayne Eric Gustafson is a Pastoral Counselor based in Ithaca, NY and is specialized in Pastoral. Wayne Eric Gustafson practices in Ithaca, NY and has the professional credentials of DMIN. The NPI Number for Wayne Eric Gustafson is 1851778757 and holds a License No. LMHC 002006 (New York).

The current practice location address for Wayne Eric Gustafson is 224 Forest Home Dr, Ithaca, NY and can be reached out via phone at 607-857-0003.

Location: 224 Forest Home Dr, Ithaca, NY, 14850-8402
person
Provider Profile Details
NPI Number
1851778757
Provider Name
Wayne Eric Gustafson
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
224 Forest Home Dr, Ithaca, NY, 14850-8402
Phone Number
607-857-0003
Fax Number
Provider Enumeration Date
04/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
224 Forest Home Dr
City
State
Zip
14850-2747
Phone Number
607-857-0003
Fax Number
person
Provider Business Mailing Address Details
Address
224 Forest Home Dr
City
State
Zip
14850-2747
Phone Number
607-857-0003
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
LMHC 002006 (New York)
Definition
Definition to come...
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